Jeanny Tejeda Martin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108631 Issued in CA

Practice address

2800 W Magnolia Blvd
Burbank, CA 91505-3036

Phone

(818) 846-9041

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruce S. Dodge, D.M.D., Inc.

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1700296605
  NPD (past)
• Mehrzad Seraji, DDS, Inc.

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1134530488
  NPD (past)
• Veterans Administration

  • Adult Mental Health Clinic/Center
  • Sepulveda, CA
  • NPI 1740537299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716681600000",
    "number": "1093459232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SUNSET PL APT 1407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054482",
            "telephone_number": "857-492-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053036",
            "telephone_number": "818-846-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEANNY",
        "middle_name": "TEJEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsmedical Supply
• Martha H Paterson
• Martin Gelbard MD, Inc
• Martin H. Kay, PH. D. MD a Medical Corporation
• Catalina Martin
• Monet Martin
• Ansberto Martinez
• Ashley Martinez
• Genesis Martinez
• Jennifer Martinez

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.